Wellformed AI

NPI 1699650135 · live from the CMS NPI Registry

Active Aba LLC

Behavior Analyst in Norfolk, VA. National Provider Identifier 1699650135, active.

NPI record

NPI1699650135 Type 2 · organization
StatusActive
Primary specialtyBehavior Analyst 103K00000X
Practice location440 Monticello Ave Ste 1802, Norfolk, VA 23510
Practice phone929-631-2690
Mailing address927 Park Ln, Valley Stream, NY 11581
EnumeratedAugust 6, 2025
Last updatedAugust 11, 2025
Authorized officialDovid Borowski, Founder

Taxonomies and licenses

TaxonomyCodeLicense
Behavior Analyst primary103K00000X—

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.